| Patient | Denise Craig | Sex | Female |
| Date of birth | February 1st, 2002 15:05 | Date of expiration | |
| Race | American Indian or Alaska Native | Ethnicity | Not Hispanic or Latino |
| Insurance Providers | Other | Patient IDs | 522ce2f71d41c8fe11000016 Cypress |
| Contact info | |||
| Document Id | 522ce2f71d41c8fe11000016 2.16.840.1.113883.3.72 |
| Document Created: | September 10th, 2013 18:29 |
| Author | Auto Generated |
| Contact info |
Tel: +1-781-271-3000 |
| Document maintained by | Cypress |
| Contact info | 202 Burlington Rd. Bedford, MA 01730 Tel: +1-781-271-3000 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
February 1st, 2011 12:05 - February 1st, 2011 13:05 | performed | ||
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
February 1st, 2012 11:05 - February 1st, 2012 12:05 | performed | ||
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
October 10th, 2012 12:05 - October 10th, 2012 12:20 | performed |